MO MSSP 2022
Karen Duncan
ACO Primary Contact
202-803-7979
Location
Location

Aledade Accountable Care 98, LLC

4550 Montgomery Ave Ste 950N
Bethesda, MD 20814
 

ACO Participants ACO Participant in Joint Venture
BOONE PHYSICIAN SERVICES LLC N
BOTHWELL REGIONAL HEALTH CENTER N
CITIZENS MEMORIAL HEALTHCARE N
CONTINUUM FAMILY CARE LLC N
CYNERGY HEALTH, LLC N
GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION N
GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT N
JOHN FITZGIBBON MEMORIAL HOSPITAL INC N
NOBLE HEALTH AUDRAIN INC N
NOBLE HEALTH FULTON INC N
NOVA HEALTH MEDICAL GROUP LLC N
PUTNAM COUNTY MEDICAL HOME CLINICS, LLC N
SSM AUDRAIN HEALTH CARE INC N

Member First Name Member Last Name Member Title/Position Member's Voting Power (Expressed as a percentage) Membership Type

ACO Participant Legal Business Name

DONALD DELWOOD Board Member 7.692 ACO Participant Representative

Nova Health Medical Group LLC

KAREN DUNCAN Board Member/Chair 7.692 Other Aledade
DAWN FAIRLEY Board Member/ACO Medical Director 7.692 ACO Participant Representative

Putnam County Medical Home Clinics, LLC

CHARLES FILLINGANE Board Member 7.692 ACO Participant Representative

Continuum Family Care LLC

LOUIS HARRIS Board Member 7.692 ACO Participant Representative

Citizens Memorial Healthcare

CYNTHIA HAYES Board Member 7.692 ACO Participant Representative

Cynergy Health, LLC

DAVID KUHLMANN Board Member 7.692 ACO Participant Representative

Bothwell Regional Health Center

REBECCA LLORENS Board Member 7.692 ACO Participant Representative

Boone Physician Services LLC

MANIK MEHRA Board Member 7.692 ACO Participant Representative

Golden Valley Memorial Hosptial District

KELLY SCHWAGER Board Member 7.692 ACO Participant Representative

General John J Pershing Memorial Hospital Association

JAHNE SMITH Board Member/Medicare Beneficiary Representative 7.692 Medicare Beneficiary Representative

N/A

JIM TUNE Board Member/Compliance Committee Lead 7.692 ACO Participant Representative

Nova Health Medical Group LLC

CHRISTINA WILLIAMS Board Member 7.692 ACO Participant Representative

John Fitzgibbon Memorial Hospital Inc

 


Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

  • ACO Executive: Karen Duncan
  • Medical Director: Dawn Fairley
  • Compliance Officer: Amy Youtz
  • Quality Assurance / Improvement Officer: Emily Maxson 

Committee Name Committee Leader Name and Position
Compliance Committee

Jim Tune/ Compliance Committee Leader

  • Networks of individual practices of ACO professionals

First Agreement Period

  • Performance Year 2022, $1,911,079.24
     

First Agreement Period  

  • Performance Year 2022
    • Proportion invested in infrastructure: 30%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 60%
2022 Quality Performance Results
Measure # Measure Name Collection Type Rate ACO Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 11.71 10.71
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 72.42 76.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 69.28 76.16
Quality ID# 318 Falls: Screening for Future Fall Risk  CMS Web Interface 74.68 87.83
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 72.22 77.34
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 40 79.27
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 50 75.32
Quality ID# 112 Breast Cancer Screening CMS Web Interface 63.49 78.07
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 77.35 86.37
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 6.06 16.03
Quality ID# 321 CAHPS for MIPS [3] CMS Web Interface N/A N/A
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] CMS Web Interface 0.1367 0.151
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] CMS Web Interface 29.31 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS 85.03 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS 95.2 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS 93.07 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS 80.84 77
CAHPS-5 Health Promotion and Education CAHPS for MIPS 57.1 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS 59.87 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS 71 73.06
CAHPS-8 Care Coordination CAHPS for MIPS 87.52 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS 93.03 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS 27.63 25.62
Fraud and Abuse Waivers

 

ACO Pre-Participation Waiver:  N/A

 

ACO Participation Waiver: N/A